You are doing a history assessment on a new patient that was just transferred to your unit. As you ask her questions she eludes that she is living with family who are supposed to be caring for her but they are taking her retirement checks and only giving her very little of it. What type of abuse would you consider?
Financial.
Emotional.
Neglect.
Physical.
The Correct Answer is A
Choice A reason: Taking retirement checks and limiting access to funds is financial abuse, exploiting the patient’s resources. This violates elder rights, requiring reporting and social service intervention. Accurate identification ensures protection, critical for restoring financial autonomy and preventing further exploitation, enhancing safety and well-being in vulnerable elderly patients.
Choice B reason: Emotional abuse involves psychological harm like humiliation, not directly indicated by taking retirement funds, which is financial abuse. Assuming emotional risks misclassification, delaying financial protection measures, critical for addressing exploitation and ensuring the patient’s economic security, essential for elder abuse prevention and support.
Choice C reason: Neglect involves failure to provide care, like food or medical needs, not specifically taking funds, which is financial abuse. Misidentifying as neglect risks overlooking financial exploitation, delaying interventions like legal guardianship, critical for protecting the patient’s assets and ensuring safety in elder care settings.
Choice D reason: Physical abuse involves bodily harm, not indicated by financial exploitation like taking retirement checks. Assuming physical risks missing financial abuse, delaying reporting or social services, critical for stopping exploitation, restoring financial control, and ensuring the patient’s safety and dignity in elder abuse scenarios.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A friction rub is a scratching or squeaking sound from inflamed pleural surfaces, persisting throughout the respiratory cycle and unaffected by coughing, as pleural inflammation (e.g., pleurisy) causes consistent friction. Accurate recognition ensures proper reporting, guiding diagnosis and treatment of underlying conditions like pneumonia or pulmonary embolism in respiratory assessments.
Choice B reason: Assuming false is incorrect, as friction rubs indeed persist through the respiratory cycle without clearing by coughing, unlike rhonchi. Misidentifying this risks misdiagnosis, potentially overlooking pleural inflammation needing anti-inflammatory or antibiotic therapy, delaying treatment and increasing complications in patients with respiratory conditions causing friction rubs.
Correct Answer is A
Explanation
Choice A reason: Facial droop is an unexpected neurological finding, often indicating cranial nerve VII (facial nerve) dysfunction, as seen in stroke or Bell’s palsy. It disrupts symmetrical muscle movement, signaling potential brain or nerve pathology. This abnormality requires urgent evaluation to determine underlying causes like ischemia or inflammation.
Choice B reason: Swallowing without coughing is a normal finding, reflecting intact cranial nerves IX and X. Dysphagia or coughing during swallowing would suggest neurological impairment, but this choice indicates expected function, making it a typical result in a neurological assessment of swallowing capability.
Choice C reason: Spontaneous eye opening is a normal finding, indicating intact brainstem and cranial nerve function, particularly cranial nerve III. It is expected in conscious patients and does not suggest neurological dysfunction, unlike failure to open eyes, which could indicate coma or severe impairment.
Choice D reason: Understandable speech is a normal finding, reflecting coordinated function of cranial nerves and brain regions like Broca’s area. Slurred or incoherent speech would be abnormal, but this choice indicates expected neurological performance, not an unexpected outcome in a standard assessment.
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